Detecting scaphoid fractures in wrist injury: a clinical decision rule.

ABSTRACT:

Introduction

The aim of this study was to develop and validate an easy to use clinical decision rule, applicable in the ED that limits the number of unnecessary cast immobilizations and diagnostic follow-up in suspected scaphoid injury, without increasing the risk of missing fractures.

Methods

A prospective multicenter study was conducted that consisted of three components: (1) derivation of a clinical prediction model for detecting scaphoid fractures in adult patients following wrist trauma; (2) internal validation of the model; (3) design of a clinical decision rule. The predictors used were: sex, age, swelling of the anatomic snuffbox, tenderness in the anatomic snuffbox, scaphoid tubercle tenderness, painful ulnar deviation and painful axial thumb compression. The outcom

SUBMITTER: Mallee WH 

PROVIDER: S-EPMC7109163 | biostudies-literature | 2020 Apr

REPOSITORIES: biostudies-literature